Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY LAROSA, ATC
ActiveBRADLEY LAROSA, ATC is a Athletic Trainer healthcare provider located in SPRINGFIELD, Missouri. NPI 1295799351 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1295799351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2006 (20.31074459874 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
20003027559 (MO)96001870 (IL)
Practice Information
- Address
-
955 E TRAFFICWAY STSPRINGFIELD, MO, 658023671Browse MO providers · Browse ZIP 65802
- Phone
- 6188307511
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| IVAN EUGENE MILTON | AT | 1841291747 |
| MR. JAMES THOMAS PENKALSKI | ATC | 1073505921 |
| MS. SHANNON ELIZABETH DERRICKS | ATC | 1114919057 |
| MS. ROBIN E MEEKS | ATC | 1376535211 |
| MS. TIMAREE ANNE WALSH | ATC | 1114919628 |
| MRS. JENNIFER MARIE PROBSTFIELD | ATC | 1932192895 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.